MEDICARE: LETICIA GELY ROJAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	29218-R	PR
2	2080N0001X	Neonatal-Perinatal Medicine Physician	20758	PR

General Provider Information

NPI Number	:	1588971485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETICIA GELY ROJAS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 533
Second Line	:
City	:	MANATI
State	:	PR
Zip	:	00674-0533
Country	:	US
Telephone Number	:	787-226-3257
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 AVE HOSTOS APT 323
Second Line	:	COND MONTE NORTE
City	:	SAN JUAN
State	:	PR
Zip	:	00918-4244
Country	:	US
Telephone Number	:	787-226-3257
Fax Number	:	787-296-4233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2010
Last Update Date	:	03/19/2024

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